[The role of electro-ophthalmology in ophthalmological diagnosis].
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Electrooculography↗
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Learning disabilities, dyslexia, and vision: a subject review. Committee on Children with Disabilities, American Academy of Pediatrics (AAP) and American Academy of Ophthalmology (AAO), American Association for Pediatric Ophthalmology and Strabismus (AAPOS).
Learning disabilities are common conditions in pediatric patients. The etiology of these difficulties is multifactorial, reflecting genetic influences and abnormalities of brain structure and function. Early recognition and referral to qualified educational professionals is critical for the best possible outcome. Visual problems are rarely responsible for learning difficulties. No scientific evidence exists for the efficacy of eye exercises ("vision therapy") or the use of special tinted lenses in the remediation of these complex pediatric developmental and neurologic conditions.
Adolescent↗
International Federation of Ophthalmological Societies statutes and regulations.
PURPOSE: To provide an understanding of the structure, role, and responsibility of the International Federation of Ophthalmological Societies, the International Council of Ophthalmology, and the International Congress of Ophthalmology. These established entities have recently codified their statutes and regulations and registered them in Zurich, Switzerland. METHODS: The International Council of Ophthalmology, which serves as the executive body of the International Federation of Ophthalmological Societies, used historical operating documents to prepare the statutes and regulations, which were reviewed and adopted by the International Federation of Ophthalmological Societies at the 28th International Congress of Ophthalmology in Amsterdam on June 23, 1998. RESULTS: The statutes and regulations of the International Federation of Ophthalmological Societies, the International Council of Ophthalmology, and the International Congress of Ophthalmology are available to supranational ophthalmological organizations, national ophthalmological societies, other ophthalmological organizations, and individual ophthalmologists. CONCLUSIONS: The statutes and regulations of the International Federation of Ophthalmological Societies, the International Council of Ophthalmology, and the International Congress of Ophthalmology provide a basis for an organizational structure in international ophthalmology. The International Congress of Ophthalmology, first held in 1857, is the longest continuing international meeting in medicine. The International Council of Ophthalmology was established in 1927, and the International Federation of Ophthalmological Societies was formed in 1933. These organizations coordinate the International Congress of Ophthalmology, which convenes with the International Federation of Ophthalmological Societies every 4 years. The International Council, as the executive body, meets annually. The International Council of Ophthalmology has for decades worked to coordinate and facilitate interchange, education, and standards in international ophthalmology. Currently, the International Council of Ophthalmology, working with other international organizations, is creating an international ophthalmology strategic plan, which includes focus on ophthalmic training, continuing education, advocacy for the preservation and restoration of vision, clinical guidelines, and research.
Constitution and Bylaws↗
Factors influencing career choices among graduating ophthalmology residents.
OBJECTIVE: To identify factors influencing graduating ophthalmology residents to pursue subspecialty training or a career in comprehensive ophthalmology. DESIGN: Cross-sectional study. PARTICIPANTS: Residents graduating from U.S. ophthalmology residency programs who participated in the ophthalmology match program. METHODS: An anonymous survey was sent to each graduating ophthalmology resident in the United States between February 1, 2003, and February 28, 2003. Demographic data and information relating to medical school and residency training, career goals, and factors influencing career choices were collected from the surveys. MAIN OUTCOME MEASURE: The decision to pursue or not to pursue fellowship training. RESULTS: The individual response rate was 50.8% (222/437), and 74.1% (86/116) of residency training programs responded to the survey. After completion of residency training, 64% (142/222) were pursuing subspecialty training and 36% (80/222) planned to practice comprehensive ophthalmology. In a multivariate analysis, factors that predicted subspecialty training included a desire to acquire special skills (odds ratio [OR], 13.81) and a perceived more favorable job market (OR, 3.23) and prestige (OR, 3.20). Anticipated work hours (OR, 0.37) and preferred geographic location (OR, 0.47) were predictors of a career in comprehensive ophthalmology. Residents choosing comprehensive ophthalmology careers were more likely to plan to practice in a group private practice, and those seeking subspecialty training were more likely to intend to practice in a university setting or were undecided in their future practice type (OR, 2.04). CONCLUSIONS: Several factors influenced career choices among graduating ophthalmology residents. A desire to acquire special skills and perceived prestige and job market were major factors influencing ophthalmology residents to seek subspecialty training. Lifestyle considerations were more important to residents choosing a comprehensive ophthalmology career. There were significant differences in practice preferences among residents pursuing or not pursuing subspecialty training.
Adult↗
Citation patterns in the optometric and ophthalmologic clinical binocular vision literature.
PURPOSE: The purpose of this study is to compare citation patterns in the clinical binocular vision literature of optometry and ophthalmology. METHODS: The author conducted citation analysis of two current clinical binocular vision textbooks from optometry and two from ophthalmology and of articles published in the years 2000 to 2004 in optometry and ophthalmology journals. Topical parameters for inclusion of sources were diagnosis and management of nonstrabismic binocular vision disorders, diagnosis and management of nonpresbyopic ocular accommodation disorders, and procedures for examining such conditions. These topical parameters were chosen because they are areas in which the diagnostic procedures and treatment options available to members of the two professions are not delineated by their respective scopes of practice. RESULTS: The most frequently cited journals in the optometric publications were optometry journals (63% of citations in the optometry textbooks and 58% in the optometry journal articles). The most frequently cited journals in the ophthalmology publications were ophthalmology journals (79% of citations in the ophthalmology textbooks and 49% in the ophthalmology journal articles). Each discipline also cited a greater variety of journals from within its own field than was cited by the other discipline. The journal with the highest total number of citations was Optometry and Vision Science (280) followed by Ophthalmic and Physiological Optics (73), American Journal of Ophthalmology (68), Investigative Ophthalmology and Visual Science (62), and Optometry (61). CONCLUSIONS: Optometry and ophthalmology sources show more citations to materials from their own discipline than from their fellow discipline in the area of nonstrabismic binocular vision disorders and nonpresbyopic accommodative disorders. Reasons may include lack of awareness of the literature of the other discipline, bias toward the literature of one's own discipline, or bias against the literature of another discipline. It is also likely that the diagnostic and management strategies of the two professions are significantly different, although scope of practice would not constrain the range of strategies for the conditions chosen as the topical matter for consideration in this study. The journals found to be most frequently cited in this study should help to identify the core journals in this area of clinical binocular vision.
Adolescent↗
Impact of a 1-day ophthalmology experience on medical students.
OBJECTIVE: To improve the ophthalmic knowledge and eye examination skills of third-year medical students through the development and implementation of a 1-day ophthalmology experience. DESIGN: Noncomparative interventional case series. PARTICIPANTS: One hundred twenty-one third-year medical students at the Penn State College of Medicine completed the 1-day ophthalmology experience. METHODS: A 1-day ophthalmology curriculum, based on the Association of University Professors in Ophthalmology Policy Statement on Medical Student Education, was developed and implemented. The 1-day program consisted of a morning conference series and an afternoon case-based learning and eye examination skills session. MAIN OUTCOME MEASURES: The students completed a questionnaire to assess the impact of the experience on their ophthalmology knowledge and skills. In addition, the students completed a pretest and posttest to measure the impact of the 1-day ophthalmology experience on their ophthalmic knowledge. RESULTS: The 1-day ophthalmology experience was effective in improving the ophthalmic knowledge and eye examination skills of medical students based on the results of questionnaires, multiple choice examinations, and skills assessment. There was a statistically significant increase in test score percentage after the 1-day ophthalmology experience: the mean score on the pretest was 55%, compared with a mean score of 80% on the posttest. CONCLUSION: The ophthalmology-in-a-day experience is an effective way to improve the ophthalmic knowledge and eye examination skills of medical students.
Clinical Competence↗
Congenital and inherited ophthalmologic abnormalities.
OBJECTIVE: To identify genetic disorders associated with ophthalmologic abnormalities; type and frequency of various ophthalmologic abnormalities associated with selected genetic and inherited disorders; and devise a suitable classification for ophthalmologic abnormalities. METHODS: Pediatric cases referred with mental retardation, congenital malformations and suspected genetic and metabolic disorders were enrolled prospectively. Relevant clinical details (including an ophthalmologic examination) and investigations were recorded. RESULT: Of the 1308 patients enrolled, 679 (51.9%) had ophthalmologic abnormalities. 458 cases (67.45%) out of these 679 had mental retardation and 20 (2.94%) had neuroregression. Environmental (12.22%) and chromosomal anomalies (10.9%) were the largest etiological groups. Down syndrome was the commonest of the chromosomal anomalies and mongoloid slant and epicanthic folds were its commonest ophthalmologic features. Mucopolysaccharidoses (21.4%), Wilson disease (19.64%), oculocutaneous albinism (16.07%) and lipid storage disorders (14.29%) were the most common inborn errors of metabolism associated with ophthalmologic abnormalities. Of the 39 cases with Mendelian inheritance of disorders, autosomal dominant disorders (56.41%) were the commonest associated with ocular abnormalities. A simple anatomical classification has been devised for various ophthalmologic abnormalities encountered (wherein, positional and adnexal abnormalities were the commonest). CONCLUSION: Up to 50% of cases referred to the genetic services have ophthalmologic abnormalities. Conditions including chromosomal abnormalities, metabolic disorders, Mendelian syndromes and environmental factors are associated with ocular abnormalities. Anatomically, positional and adnexal abnormalities are the commonest.
Adolescent↗
[Ophthalmology "Made in Switzerland" -- Swiss papers listed in Medline].
BACKGROUND: Publications are one of the most important tools to measure scientific production in a particular sphere. Hence, the aim of this study was to identify the quantitative and (through Journal Impact Factor) qualitative amount of ophthalmological articles coming from Switzerland. MATERIALS AND METHODS: With a specifically developed software we searched 70 ophthalmological Journals indexed by Medline for articles from Switzerland. RESULTS: Not counting the publications related to the annual meeting of the Swiss Ophthalmological Society, the amount of Swiss papers in ophthalmological journals indexed by Medline, increased between 1988 and 1999 by a factor of four. In proportion to the global amount of ophthalmological publications we calculated an increase by a factor of 2.6. The amount of publications grew particularly during the analysed time period in journals with high impact factors. In 1999 a total of 1.8 % of the indexed ophthalmological articles originated from Swiss research institutes and hospitals. The average amount of authors of Swiss publications increased, thereby following an international trend. CONCLUSIONS: The increased amount of publications may rely on the growing role of Swiss research in ophthalmology as well as on a broadened and deepened international orientation of Swiss ophthalmology. The increased number of authors can be explained by the growing complexity and interdisciplinary nature of research projects. Both, the amount of publications and the number of authors, can be linked to the "publish or perish" paradigm.
Forecasting↗
Analysis of New Zealand's research productivity in ophthalmology and vision science: 1993-2002.
AIM: To assess New Zealand's research productivity in the area of ophthalmology and vision science over the decade 1993-2002. METHODS: New Zealand-based researchers involved in ophthalmology or vision science research, including ophthalmologists, optometrists and vision scientists were identified via professional colleges, universities and electronic databases. Peer-reviewed publications by these authors were identified by both searching electronic databases (MEDLINE/Pubmed) and personal communication with individual researchers. RESULTS: Eighty-five New Zealand-based researchers involved in ophthalmology or vision science research published 446 articles in 84 scientific journals during the 10-year period. The cohort consisted of 59 ophthalmologists and 26 other researchers based in a diverse range of ophthalmology, optometry and university departments. Significant collaboration was observed between groups within New Zealand and with international institutions. Comparing ophthalmologists and 'other' researchers, ophthalmologists produced 69% of all ophthalmology and vision science research publications and those classified as 'active ophthalmologist researchers' published an average of 11 (range 5-55) papers each during this decade, compared to eight (range 5-25) for the group 'other active researchers'. This was also reflected in the high productivity rate by ophthalmologists of 277 publications per 1000. Publications were identified in a wide range of journals with the majority in top 20-ranked ophthalmology journals. The trend over the decade highlighted an increase in number of scientific publications, from 43 per annum in 1993, to 68 per annum in 2002. CONCLUSIONS: Despite a relatively small and geographically isolated population, New Zealand ophthalmology and vision science research is highly active and collaborative, with significantly increased research productivity during the period 1993-2002. The present study is the first to document these trends and provides strong evidence to justify continued support for ophthalmology and vision science research in New Zealand.
Bibliometrics↗
[Scientific role of German ophthalmology in the European telecommunication project OPHTEL].
BACKGROUND: In Denmark, France, Germany, Great Britain and Italy, the OPHTEL project combines clinical centers of ophthalmology and internal medicine, an institute for medical informatics and health services research, a publishing company and different industrial partners in the EDP market. AIMS: With the aid of visual telecommunication and rapid data transfer, methods and conditions will be developed and proved so that any physician can very easily obtain sufficient information for treating his patient. Thus, the regional differences in the quality of structured health service (e.g., urban/ rural) will be overcome throughout Europe. SCIENTIFIC TASKS: A multilingual diagnostic and therapeutic thesaurus has to be worked out in order to create standards for communication and quality control. Based on literature, images and image analysis in a knowledge-based data bank, a monitoring system (containing watch-dog functions) and the basic aspects of an ophthalmological patient/disease register will be investigated. (In parallel, a technical development of synchronous and asynchronous telecommunication between eye physicians is taking place in close cooperation with the regional Bavarian project Teleopathalmology in Bavaria on-line). RESULTS: State of the art 6 months after starting the project:the knowledge-based image data bank has been founded and also an ophthalmological 8 language thesaurus and definition standard. All data transfer lines are installed. DISCUSSION: The project is taking place amid diverging sections of medicine: ophthalmology and internal medicine, health politics and data protection, individual treatment and common interest (health care), product management and office organization. Thus, the scientific quality of the transferred ophthalmological content must undergo sophisticated controls. FUTURE STEPS: Intense cooperation with the big German associations for ophthalmology (DOG, BVA) and the European ophthalmological societies concerning EDP, classification and quality control.
Computer Communication Networks↗
Ophthalmology inpatient consultation.
OBJECTIVE: To profile inpatients and eye problems evaluated and managed by the Ophthalmology Consultation Service of a large university teaching hospital. DESIGN: A hospital-based retrospective, cross-sectional study. PARTICIPANTS: One thousand four hundred seventy-two patients admitted to the University of California Los Angeles Medical Center. METHODS: We reviewed the inpatient medical records, discharge summaries, and Ophthalmology Consultation Service notes of every patient evaluated by the Service from July 1990 through January 1997. MAIN OUTCOME MEASURES: We recorded demographic information, hospitalization information, and eye examination information, including reason for consultation, type of consultation (screening examination, new eye problem, or preexisting eye problem), as well as primary and secondary ophthalmologic diagnoses. RESULTS: Internal medicine services requested 39.7% of consultations, surgery services 20.9%, and trauma services 13.5%. There were 92 different reasons why consultations were requested. The most common reason was decreased vision. Eye problems that developed either on the day of admission or some time during hospitalization accounted for 39.6% of consultations, preexisting eye problems accounted for 31.6%, and screening examinations for the remaining 28.7%. We recorded 166 unique primary ophthalmologic diagnoses and 130 unique secondary ophthalmologic diagnoses. The top five common primary ophthalmologic diagnoses were refractive error (88 patients), fungal endophthalmitis ruled out (80 patients), conjunctivitis (56 patients), diabetic retinopathy (52 patients), and corneal abrasion (52 patients). Refractive error was the most common secondary ophthalmologic diagnosis (201 patients). Inpatient diagnostic or surgical procedures were performed 7911 times. There were 947 unique primary and 1391 unique secondary hospital discharge diagnoses. The most common primary discharge diagnosis, human immunodeficiency virus infection, accounted for only 1.6% of all hospitalizations, indicating a considerable diversity of systemic disease in the study population. CONCLUSIONS: This study profiled the typical patients and eye problems an ophthalmologist may expect to encounter when inpatient consultation is requested. The information may be useful for the planning and management of consultation services in residency training programs.
Adolescent↗
Research contributions in ophthalmology: Australia's productivity.
BACKGROUND: In 2000, the Australian and New Zealand Journal of Ophthalmology (ANZJO) changed title to Clinical and Experimental Ophthalmology. At this time, a review of Australia's contributions to the literature over the previous 21 years appears timely. Bibliometric indicators are used extensively to assess research performance as they offer views of a field that might not otherwise be apparent. The aim of this study was to explore publication output data to construct a picture of ophthalmology that may be of benefit to researchers and ophthalmologists. METHODS: Science Citation Index and Social Sciences Citation Index databases were used to collate data on ophthalmology research literature from 1980 to 2000. Subsequent analysis particularly focused on Australia's contribution to this literature, including publication frequency vis-à-vis the world, collaboration, and the journals in which Australian researchers frequently publish. These data were also compared with other countries of similar scientific stature or language. RESULTS: Since 1980, Australia has ranked in the top 10 nations contributing to world ophthalmology research. Its contribution was close to world average in the 1980s, but increasing numbers of researchers and papers show Australia exceeding the world average during the 1990s. Most ophthalmology research collaboration by Australians is within Australia. Although fewer in number, collaborative papers with overseas researchers include 28 other countries. Data on the journals in which Australians publish show that Australian researchers continue to exhibit a preference for publication in their own regional journals. CONCLUSIONS: This paper, one of a series on the literature of the vision sciences, provides some initial benchmarks on Australia's standing and contribution to the field of ophthalmology research.
Australia↗
[The influence of some ophthalmologists of German origin on the development of American ophthalmology].
German-speaking immigrants came to America at the end of the seventeenth century from Central Europe, in the 19th century predominantly from Germany, in the 20th century from the Austro-Hungarian Monarchy. Herrmann Knapp (1839-1911), 1859 member of Eye Department in Heidelberg, 1867 immigration, 1879 foundation of American Archives of Ophthalmology, continued to be Editor together with his son Arnold until 1948. Julius Homberger (1839-1872), born in Frankfurt, 1861 immigration, foundation of American Journal of Ophthalmology (1862-1865). Favored specialisation in medicine, Secretary of Section of Surgery in the new American Medical Association 1864, expelled 1868. Adolf Alt (1851-1920), 1875 graduation at the University in Heidelberg, 1875 immigration, 1879 publication of his book in English and German "The Normal and Pathological Histology of the Human Eye". In 1883 second foundation of the American Journal of Ophthalmology, 1896 first president of Western Ophthalmological Society, 1882 member of American Ophthalmological Society. Karl Koller (1857-1944) from Bohemia, 1882 graduation in Vienna, 1884 discovery of anaesthetic effect of cocaine, 1888 immigration, 1889 chief of Mount Sinai Hospital, 1922 Howe-Medal, member of American Ophthalmological Society. Ludwig von Sallman (1892-1975), 1919 graduation in Vienna, 1939 immigration, head of Laboratories of Hermann Knapp Memorial Hospital, New York, 1956 chief of National Institute of Neurological Diseases and Blindness, Bethesda, 1947 member of American Ophthalmological Society, 1959 Howe-Medal. Bertha A. Klien-Montcreiff (1898-1978), 1925 graduation in Vienna, 1928 immigration to Chicago, 1959 Professor at the University of Chicago, clinicopathological correlation of ophthalmoscopic and histologic findings in oil paintings.(ABSTRACT TRUNCATED AT 250 WORDS)
Germany↗
The prevalence of ocular signs in acne rosacea: comparing patients from ophthalmology and dermatology clinics.
PURPOSE: To describe and compare the ocular signs in patients diagnosed with acne rosacea by the ophthalmologist with the ocular signs in the patients diagnosed with rosacea by the dermatologist. METHODS: We reviewed the medical records of 176 randomly selected patients diagnosed with rosacea at the University of California, Davis, Medical Center: 88 patients each from the Department of Dermatology and the Department of Ophthalmology. Of the 88 patients diagnosed with acne rosacea by a dermatologist, 22 (25%) had an ophthalmologic evaluation done prior to the study. In those patients without an ophthalmologic assessment, ocular complaints noted by the dermatologist were recorded. We recorded ocular signs including lid, conjunctival, corneal, episcleral, and scleral manifestations as well as charted observations of the iris, lens, intraocular pressures (IOPs), best corrected visual acuity (VA), and funduscopic examination. Age and sex were recorded from the initial ophthalmologic evaluation. The analysis was designed to compare the prevalence of signs and symptoms in two clinical settings. RESULTS: The prevalence of documented meibomian gland dysfunction (p < 0.001), telangiectasia (p = 0.004), and anterior blepharitis (p = 0.008) was significantly higher in ophthalmology patients when compared with dermatology patients. Of the conjunctival signs evaluated, only the presence of interpalpebral conjunctival hyperemia (p = 0.005) was found to be significantly higher in ophthalmology patients. The corneal, episcleral, scleral, and lens findings did not demonstrate a statistically significant difference between groups. CONCLUSION: The major and most easily observable ocular problems in rosacea patients presenting either to ophthalmology or dermatology are lid disease-related manifestations. As might be expected, eye signs and symptoms are more commonly noted in the eye clinic. A clinician's increased awareness of the common ocular findings of rosacea, however, may aid in earlier diagnosis and treatment of ocular rosacea.
Adult↗
Does sex affect the success rate of Canadian ophthalmology residency applicants?
BACKGROUND: Despite equalization of the ratio of men and women among matriculating medical students, it is possible that different rates of success for applicants at the level of resident selection in the annual residency match may occur on the basis of sex. As part of a larger project, we examined this issue across the medical specialties. In the current article, the effect of sex on resident selection within the specialty of ophthalmology is explored. METHODS: Data were obtained from the Canadian Medical Association, Canadian Institute for Health Information, Royal College of Physicians and Surgeons of Canada, Canadian Ophthalmological Society, and Canadian Residency Matching Service regarding sex- and age-specific demographics, as well as success rates for male and female applicants ranking an ophthalmology residency program as their top choice. The proportion of men who ranked ophthalmology as their top choice but did not match to any ophthalmology program was compared to the corresponding proportion of women. RESULTS: The female: male ratio of practicing ophthalmologists has slowly increased over the past decade and is highest (0.41:1) within the under-45 age group. By grouping data from 1993 to 2004, we found that men who ranked an ophthalmology program as their first choice had odds of not being accepted to an ophthalmology program that were 1.1 times (95% confidence interval 0.8-2.0; p=0.34) the corresponding odds for women. INTERPRETATION: Our data suggest that discrimination on the basis of sex does not occur at the level of residency selection. The lower level of female recruitment may be due to decreased interest in this specialty among women. Nonetheless, the proportion of female ophthalmologists within the Canadian workforce continues to increase.
Canada↗
[Clinical and epidemiological aspects of Horton disease based on survey methods in ophthalmology or internal medicine].
We conducted a retrospective study of 29 consecutive cases of temporal arteritis, all with definite histological diagnostic criteria. The epidemiological aspects of the main clinical and biological features were compared according to their mode of recruitment, the patients being hospitalized either in an ophthalmological unit (n = 15), or in an Internal Medicine unit (n = 14). The level of fever and of sedimentation rate were significantly less in the ophthalmological group (respectively p < 0.001 and p < 0.02), a third of which is represented by the purely ophthalmological manifestation called "occult temporal arteritis". Among the ophthalmological manifestations, despite the fact that the recruitment bias prevented any strict epidemiological comparison, we were surprised to find no significant difference between the two groups concerning the frequency of transient ophthalmological manifestations, which confirmed in half the patients their reputation of forerunners of irreversible lesions. Thus, the presentation of temporal arteritis differs according to its ophthalmological or Internal Medicine recruitment. We were unable to determine a precise chronology difference in the principal manifestations between these two groups. The severity of the ocular manifestations justifies looking for temporal arteritis in all cases of transient ophthalmological manifestations, even if clinically totally isolated.
Aged↗
[Activity and epidemiology in an ophthalmological emergency center].
PURPOSE: To investigate the numbers and characteristics of patients with ophthalmological emergencies presenting at a general hospital. METHODS: Retrospective analysis of ophthalmological emergencies over 11 years included comparison with demographic changes and, over the last 2 years, analysis of the patients treated (age, sex, and pathology, according to 23 preselected pathologies). Ophthalmological examinations were done by a senior ophthalmologist. RESULTS: The activity rose from 396 patients in 1989 to 2,793 in 2000. The prevalence of ophthalmological emergencies in the area was 5.1 per 1,000 residents. The ophthalmological emergency rate compared with all emergencies in a general hospital classified as an Emergency Department Hospital was 5%. The male to female ratio was 1.88, the excess being explained by the higher risk of injury in men (professional and domestic). Of these patients, 28% were under 18 years of age, 43% were between 18 and 40, and 29% were over 40 years old. Most patients were self-referred. Fifty-three percent of the patients were from the hospital's influence sector. Of all ophthalmic patients, 3%-5% were hospitalized, 65% for medical reasons and 35% for surgical and trauma reasons. We pre-listed 23 pathologies to screen our patients, which covered 95% of all the patients examined in the emergency department. These ophthalmological medical emergencies were classified as follows: 20% infections disease, 12.6% ocular inflammation, 0.8% neurophthalmology. Traumatology can be classified as follows: 6.4% ocular burns, 2% electrical arc injuries, 35.3% corneal lesion, 10% injuries of conjunctiva, sclera, corneosclera, lacrimal duct, and 1% perforation of the eyeball. CONCLUSION: There is a real need for ophthalmic emergency services in general hospitals. Benign pathologies not needing diagnosis and adapted treatment were not noted in our study. The cheapest and most efficient way to diagnose these ophthalmic emergencies appeared to be the ophthalmological emergency center with a senior ophthalmologist, according to the regional health organization.
Adult↗
Ophthalmology. The resident's perspective.
To determine how and why current residents in ophthalmology chose their medical specialty, we formulated and distributed a questionnaire to all ophthalmology residents in accredited programs. The results of the survey gave insight into not only their decision-making processes in choosing ophthalmology, but also their backgrounds, the factors that were important in choosing their residency program, and their future plans in ophthalmology. A wide variety of factors was involved in the decision to pursue a career in ophthalmology. In addition, we found current residents to be well qualified academically and generally satisfied with their decision to enter ophthalmology.
Career Choice↗